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DocuSign Envelope ID: 5EDF4D1F-6297-4538-889D-6E92DCA45AD7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: RN&M Engineers Party/Vendor Contact Person: Steve Kaufman (skaufman @,rnm- <br /> engineers.com) Contact Phone: 828-492-0677 Party/Vendor Address:94 Main Street City Canton State:NC Zip: <br /> 28716 Department: AMS Amount: $7500.00 Purpose: Design Services for the replacement of(7)HVAC units and <br /> installation of(1) HVAC for 501 W. Franklin Street Budget Code(s): 61370035-870000-30018 Vendor# 44863 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 11/6/17 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signatur Date: 10/27/2017 <br /> �e�daHa��,a <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> saed ev: <br /> Office of the Risk Management Officer atisa(i"^6`° Date:10/30/2017 <br /> 4.1-91.800408 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> (v15' Act: <br /> 11/14/2017 <br /> Office of the Chief Financial Offiicer[ °^�� Date: <br /> a <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney 9eGv 1°6un`s Date:11/14/2017 <br /> E6A3o33.8.66465_ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br /> 9 <br />